以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (11): 56-61.doi: 10.16460/j.issn1008-9969.2021.11.056

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Quality Evaluation and Content Analysis of Pregnancy Management Guidelines for Patients with Chronic Kidney Disease

XU Yu-lin, ZHANG Chun-xiu   

  1. Dept. of Urology, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology,Wuhan 430030, China
  • Received:2021-02-04 Online:2021-06-10 Published:2021-07-06

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Abstract: Objective To evaluate the clinical guidelines related to pregnancy management in patients with chronic kidney disease (CKD), and to provide reference for the development of pregnancy management norms in patients with CKD. Methods The included guidelines collected from guideline websites, professional society website and electronic databases were evaluated and analyzed. Evaluation of evidence-based guideline, and expert consensus guideline were assessed by AGREE II and expert consensus assessment criteria (2017) of the JBI evidence-based health care center respectively, and the recommendations of each guideline were summarized and analyzed. Results A total of 9 clinical practice guidelines were included, including 3 evidence-based guidelines and 6 expert consensus guidelines, all of which were from abroad. In terms of overall quality, there were 1 grade-A and 2 grade-B evidence-based guidelines. The overall quality of the guideline was relatively high. The overall evaluation of the 6 guidelines based on expert consensus was “inclusion”. The recommendations for pregnancy management of patients with CKD involved 3 aspects: consultation and management before pregnancy, pregnancy management, and postpartum management. Conclusion The quality of the clinical guidelines for pregnancy management in CKD patients is generally high, but some controversial issues need to be further studied. It is necessary to develop evidence-based guidelines for pregnancy management of Chinese patients with CKD as soon as possible.

Key words: chronic kidney disease, pregnancy management, AGREE Ⅱ, guideline evaluation

CLC Number: 

  • R473.58
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